Substance Use Disorders: Assessment and Treatment

Hardcover | March 15, 2000

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Substance Use Disorders: Assessment and Treatmentis a summary of everything a therapist should know about substance abuse in one easy-to-read comprehensive book. The book begins with a discussion of the pharmacology of specific drug classes (opioids, hallucinogens, etc.) and the epidemiology of abuse. It then presents psychological theories of substance abuse, the initiation and progression of substance abuse disorders, issues of prevention and early intervention, and screening and assessment for substance abuse (including specific tests for assessment) and discusses in detail the various treatment methodologies available. Two final chapters explore issues relevant to special populations and legal and ethical considerations, regarding issues such as confidentiality and coerced treatment.

A synthesis of the current research and clinical literature

Includes strengths and weaknesses of commonly used psychometric assessment measures

Presentation and review of a complete Psychosocial/Substance Use Assessment form

Discussion of treatment settings and criteria for placement decisions

Discussion of treatment alternatives and effectiveness of major pharmacological and psychotherapeutic approaches

Discussion of factors leading to Relapse, and components of Relapse Prevention programs

About The Author

Charles E. Dodgen, Ph.D. is a clinical psychologist in private practice in Caldwell, NJ. Dr. Dodgen has treated over one thousand substance abusing patients in inpatient and outpatient settings. He authoredWhat Should I Know About Someone Who Abuses Alcohol or Other Drugs?, a publication for patients and family members. He is the forme...

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Table of Contents

Clinical Pharmacology and Clinical Epidemiology of Psychoactive SubstancesDefinitions and General Concepts of PharmacologyPharmacology of Individual DrugsClinical Epidemiology of Psychoactive SubstancesEtiology of Psychoactive Substance Use DisordersOverviewTheories of EtiologyInitiation, Progression, and Maintenance of Psychoactive Substance Use DisordersStage Models of Adolescent Substance UseRisk FactorsAdult Model of Substance UseCourse/Natural History of Psychoactive Substance Use DisordersThe Disease ModelModels of Progression of Substance UsePrevention, Early Intervention, and Harm ReductionGeneral PerspectiveTypes of PreventionSupply Reduction/Legal InterventionsRisk and Protective FactorsSkills TrainingCommunity-Based PreventionSchool-Based ProgramsParenting/Family InterventionsRelated Risks/Harm ReductionScreening and Assessment of Psychoactive Substance UseOverview of the Assessment ProcessAlcohol Screening InstrumentsDrug Screening InstrumentsBiological Screening MeasuresDiagnostic InstrumentsAreas to Assess for Treatment Planning PurposesDiagnosis and ComorbidityDefinition and PrevalenceDiagnostic Issues of the Dually ImpairedTreatment of the Dually DiagnosedTreatment I: Models and ApproachesTreatment Settings and ServicesMajor Theoretical Treatment ApproachesAdditional Psychological TherapiesRole of PharmacotherapyTreatment Effectiveness/Outcome StudiesAlternative TreatmentsTreatment II: Planning, Implementing, and Managing Treatment and the Course of RecoveryPhases of RecoveryRelapse ParametersTreatment GoalsDetoxificationEngagement of Patients in TreatmentClient-Treatment MatchingTreatment of Family Members of Substance AbusersLinkage of ServicesTreatment of Criminal OffendersSelf-Help GroupsIssues in Specific PopulationsImpaired PhysiciansEthnic MinoritiesWomenHIV/AIDSThe Elderly PopulationThe Homeless PopulationLegal and Ethical IssuesConfidentialityResponsibility to Diagnose and Treat Substance Use DisordersCoerced TreatmentTreatment of Pregnant MothersAmericans with Disabilities Act (ADA)

From Our Editors

Therapists who have any questions dealing with the spectre of substance abuse will find everything they need to know in this insightful text. The Assessment and Treatment of Psychoactive Substance Use and Disorders is a comprehensive and current look at such topics as pharmacology, the epidemiology of abuse, drug abuse disorders, prevention, intervention, screening and assessment for substance abuse, as well as the different choices available for treatment. Authors Charles E. Dodgen and W. Michael Shea also discuss legal, ethical and special population issues.

Editorial Reviews

"...the information is easy to read and despite its diminutive size offers a comprehensive summary of the fundamental knowledge necessary to effectively understand psyoactive substance use disorders. The two authors, Dodgen & Shea, have managed to organise a large amount of information about psychoactive substance use disorders into a compact cohesive format... it has been directed from a clinical perspective that makes the information contained readily applicable to contemporary practice. I would definitely recommend this book as a basic text for clinicians whether or not working in the substance use field. If... you want a clear concise overview of salient issues for understanding psychoactive substance use disorders this book fits the bill."--DRUG AND ALCOHOL REVIEWPrepublication Praise"An excellent resource that provides up-to-date information on alcohol and other psychoactive substance use disorders. It illuminates the facts and substantiates them with a myriad of references. This text is useful not only for clinicians working in the field of addictions but for all therapists who will encounter individuals with such a problem. Should be considered essential reading for various additional audiences such as students in graduate or nursing schools. It is well organized and very comprehensive."--RAYMOND F. HANBURY, JR., Ph.D., C.A.S.; Past President, Division 50 (Addictions), American Psychological Association; International Advisory Board, American Academy of Health Care Providers in the Addictive Disorders; President, New Jersey Psychological Association